Healthcare Provider Details

I. General information

NPI: 1598381766
Provider Name (Legal Business Name): HAND AND HEART HOST HOMES AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2020
Last Update Date: 01/18/2023
Certification Date: 12/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4251 KIPLING ST UNIT 140
WHEAT RIDGE CO
80033-2897
US

IV. Provider business mailing address

4251 KIPLING ST UNIT 140
WHEAT RIDGE CO
80033-2897
US

V. Phone/Fax

Practice location:
  • Phone: 303-332-9807
  • Fax:
Mailing address:
  • Phone: 303-332-9807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number StateNULL
# 7
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MICHELLE MCGRAW
Title or Position: EXECUTIVE DIRECTOR
Credential: RN
Phone: 303-332-9807